Pereira, Susan A

Pereira, Susan A is an sole proprietor health care provider with primary practice located at 110 W American Canyon Rd Suite L4 #125, American Canyon CA 94503-4196. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Pereira, Susan A can be contacted via phone (707) 815-0063.

Contact Information

Primary practice address
110 W American Canyon Rd Suite L4 #125 American Canyon CA 94503-4196
Phone: (707) 815-0063
Fax: (707) 676-8628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A70499 California

Profile Details

NPI number 1770510919
LBN Legal business name Pereira, Susan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2006
Last updated Jun 30th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770510919 NPPES
California MEDICAID 00A704992

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